Gesundheitsschutz bei Hitzeextremen in Deutschland: Was wird in Ländern und Kommunen bisher unternommen?

Blättner, Beate; Janson, Debora; Roth, Andreas; Grewe, Henny Annette; Mücke, Hans‐Guido

doi:10.1007/s00103-020-03189-6

Cited by 14 publications

(4 citation statements)

References 8 publications

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“…However, the United Nations Climate Change Conference (UNFCCC) has its roots in 1979 and the call for action through the WHO heat-health action plan guidance was published in 2008 already. So far, standardized and effective strategies like national heat action-plans are still lacking (20). A PubMed search using the term ""awareness" AND "climate change adaptation"" in June 2023 resulted in 59 articles and the oldest was published in 2010.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Building climate resilience: Awareness of climate change adaptation in German Primary Care

Litke

Poß-Doering

Fehrer

et al. 2023

Preprint

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Background:Climate change is seen as the biggest health threat of the 21st century. Making primary care institutions resilient is therefore crucial to protect vulnerable groups and maintain quality of care. Awareness is a precondition for action. This study aims to explore awareness (knowledge, experience and attention) of climate change adaptation among primary care stakeholders. Methods:Semi-structured interviews and focus groups with primary care stakeholders were conducted. The qualitative data were analysed in a two-step Thematic Analysis process. Results: In total, n=40 stakeholders participated in two focus groups and 26 interviews. The findings show a mixed degree of awareness in primary care institutions. The spectrum ranged from a passive role with curative acting only, handing over responsibility to others and a low perceived self-efficacy to a proactive and responsible implementation of adaptation strategies. Participants who saw the need and responsibility of climate change adaptation in primary care perceived low additional workload. In general, implementation of climate change adaptation measures and general awareness of climate change adaptation appeared to be depending on a certain tension for change and a higher self-efficacy. Conclusion: Primary care plays a crucial role in climate change adaptation, and awareness needs to be increased further in order to cope with consequences of climate change. To facilitate this, there should be a strong emphasis on climate change adaptation strategies being part of healthcare provider roles rather than being perceived as an “add-on” to already high workloads.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Building climate resilience: Awareness of climate change adaptation in German Primary Care

Litke

Poß-Doering

Fehrer

et al. 2023

Preprint

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“…Since HHAP have not been systematically implemented at state or local levels in Germany, a number of sound examples of heat-related health prevention measures exist and had been published, such as an information flyer on individual behavior. However, it remains unclear whether these actions meet the criteria for effective medium and short-term protection [49].…”

Section: Heat Health Action Plansmentioning

confidence: 99%

Heat Extremes, Public Health Impacts, and Adaptation Policy in Germany

Mücke

Litvinovitch

2020

IJERPH

Self Cite

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Global warming with increasing weather extremes, like heat events, is enhancing impacts to public health. This essay focuses on unusual extreme summer heat extremes occurring in Germany at higher frequency, longer duration, and with new temperature records. Large areas of the country are affected, particularly urban settlements, where about 77% of the population lives, which are exposed to multiple inner-city threats, such as urban heat islands. Because harm to public health is directly released by high ambient air temperatures, local and national studies on heat-related morbidity and mortality indicate that vulnerable groups such as the elderly population are predominantly threatened with heat-related health problems. After the severe mortality impacts of the extreme summer heat 2003 in Europe, in 2008, Germany took up the National Adaptation Strategy on Climate Change to tackle and manage the impacts of weather extremes, for example to protect people’s health against heat. Public health systems and services need to be better prepared to improve resilience to the effects of extreme heat events, e.g., by implementing heat health action plans. Both climate protection as well as adaptation are necessary in order to be able to respond as adequate as possible to the challenges posed by climate change.

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“…Research shows that HHWSs can help reduce heat‐induced mortalities (Chiabai et al., 2018; Toloo et al., 2013). Germany experiences increasing efforts to implement heat adaptation strategies: in 2020, 19 regional heat health action plans were recorded (Blättner et al., 2020). One study from the German city of Frankfurt (Main) showed that the installation of a heat‐health action plan and a heat warning system was resulted in a decrease in excess mortality (Heudorf & Schade, 2014).…”

Section: Introductionmentioning

confidence: 99%

Individual heat adaptation: Analyzing risk communication, warnings, heat risk perception, and protective behavior in three German cities

Heidenreich,

Thieken

2024

Risk Analysis

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Extreme heat poses severe health threats, as the increased numbers of hospitalizations and fatalities during heat waves show, though little is known about adaptive behavior toward heat. We conducted a household survey on individual perceptions of heat stress and individual heat protection in the summer and autumn of 2019. In total, 1417 people from three medium‐sized German cities participated via telephone or online. Based on the Protective Action Decision Model (PADM), which we adapted to heat stress, we analyzed links between risk perception, environmental and demographic factors, perceptions of stakeholders, different heat warning messages, as well as actual and intended adaptive behavior. Overall, the PADM constructs explained around 16% of the variance in protection motivation, 19% in protective response, and 23% in emotion‐focused coping. Context factors (i.e., temperature, risk communication, gender, age, and homeownership) were significant predictors of the addressed outcome variables as were psychological factors (i.e., perceived personal vulnerability, response efficacy, response costs, preparedness, and perceived external responsibility). We further explored the effect of different warning messages on situational knowledge and intended behavioral adaptation in an experimental setting. Results showed that respondents felt significantly better informed after receiving a warning with action recommendations and reported more intended specific behaviors. Our research gives insights into individual protective action decision‐making processes. Based on our findings, we recommend tailoring risk communication strategies and combining heat warnings with action recommendations whenever possible to increase understanding and individual adaptation.

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Gesundheitsschutz bei Hitzeextremen in Deutschland: Was wird in Ländern und Kommunen bisher unternommen?

Cited by 14 publications

References 8 publications

Building climate resilience: Awareness of climate change adaptation in German Primary Care

Building climate resilience: Awareness of climate change adaptation in German Primary Care

Heat Extremes, Public Health Impacts, and Adaptation Policy in Germany

Individual heat adaptation: Analyzing risk communication, warnings, heat risk perception, and protective behavior in three German cities

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